US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Portable chest X-ray lung fields finding example

Page standards status: Informative

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<Observation xmlns="http://hl7.org/fhir">
  <id value="cxr-finding-lung-fields"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-observation-clinical-result"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation cxr-finding-lung-fields</b></p><a name="cxr-finding-lung-fields"> </a><a name="hccxr-finding-lung-fields"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-observation-clinical-result.html">US Quality Core Observation Clinical Result</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}">Imaging</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 18782-3}">Radiology Finding: Lungs</span></p><p><b>subject</b>: <a href="Patient-example.html">Example Patient</a></p><p><b>effective</b>: 2026-08-05 08:15:00-0400</p><p><b>performer</b>: <a href="Practitioner-example.html">Example Practitioner</a></p><p><b>value</b>: Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits.</p></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="imaging"/>
      <display value="Imaging"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18782-3"/>
      <display value="Radiology Study observation (narrative)"/>
    </coding>
    <text value="Radiology Finding: Lungs"/>
  </code>
  <subject>🔗 
    <reference value="Patient/example"/>
    <display value="Example Patient"/>
  </subject>
  <effectiveDateTime value="2026-08-05T08:15:00-04:00"/>
  <performer>🔗 
    <reference value="Practitioner/example"/>
    <display value="Example Practitioner"/>
  </performer>
  <valueString
               value="Single view portable AP chest radiograph demonstrates clear lung fields without focal consolidation, pleural effusion, or pneumothorax. Heart size is within normal limits."/>
</Observation>